PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT
Introduction: Amebiasis is defined as a parasitic infection with the protozoan Entamoeba histolytica. Amebiasis in pulmonary and pleural tissue is the second common location of extraintestinal amebias is after amoebic liver abscess. Pulmonary and pleural amebiasishappens in 2-3% of invasive amebiasi...
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| Format: | Article |
| Language: | English |
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Association of medical doctors Sanamed Novi Pazar
2020-06-01
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| Online Access: | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/390/205 |
| _version_ | 1827337297656283136 |
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| author | Dewi P Kristin Suci D Yulia Dewi P Ivana Iswanto Iswanto |
| author_facet | Dewi P Kristin Suci D Yulia Dewi P Ivana Iswanto Iswanto |
| author_sort | Dewi P Kristin |
| collection | DOAJ |
| description | Introduction: Amebiasis is defined as a parasitic infection with the protozoan Entamoeba histolytica. Amebiasis in pulmonary and pleural tissue is the second common location of extraintestinal amebias is after amoebic liver abscess. Pulmonary and pleural amebiasishappens in 2-3% of invasive amebiasis patients with mortality rate 5-16%.
Case: We report a 22-year-old man with the chief complaint of dyspnea for one week. The patient also felt pain in the left chest, had productive cough and fever. He had a history of dysentery one month ago. BGA evaluation confirmed patient had respiratory failure type 1 with PCO2 35 and PO2 46.1. Thoracentesis was performed, the result was brown milk (anchovy paste) color and pleural fluid analysis revealed positive Entamoeba histolytica. Antimicrobial therapy and drainage were given with excellent response.
Conclusion: Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side and rarely causing respiratory failure. Pulmonary amebiasis is a life-threatening, but treatable, condition. Antimicrobial therapy and drainage is an important strategy in pulmonary amebiasis management. |
| first_indexed | 2024-03-07T18:50:54Z |
| format | Article |
| id | doaj.art-f70dffe5f9f94d3cb73da269ba6d9e4f |
| institution | Directory Open Access Journal |
| issn | 1452-662X 2217-8171 |
| language | English |
| last_indexed | 2024-03-07T18:50:54Z |
| publishDate | 2020-06-01 |
| publisher | Association of medical doctors Sanamed Novi Pazar |
| record_format | Article |
| series | Sanamed |
| spelling | doaj.art-f70dffe5f9f94d3cb73da269ba6d9e4f2024-03-02T01:46:56ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712020-06-01151454910.24125/sanamed.v15i1.390PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORTDewi P Kristin0Suci D Yulia1Dewi P Ivana2Iswanto Iswanto3Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Pulmonology and Respiratory Medicine, Dr. Soetomo General Hospital, Surabaya, IndonesiaFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Pulmonology and Respiratory Medicine, Dr. Soetomo General Hospital, Surabaya, Indonesia Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Cardiology and Vascular Medicine, Dr. Soetomo General Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Bethesda Academic Hospital, Yogyakarta, IndonesiaIntroduction: Amebiasis is defined as a parasitic infection with the protozoan Entamoeba histolytica. Amebiasis in pulmonary and pleural tissue is the second common location of extraintestinal amebias is after amoebic liver abscess. Pulmonary and pleural amebiasishappens in 2-3% of invasive amebiasis patients with mortality rate 5-16%. Case: We report a 22-year-old man with the chief complaint of dyspnea for one week. The patient also felt pain in the left chest, had productive cough and fever. He had a history of dysentery one month ago. BGA evaluation confirmed patient had respiratory failure type 1 with PCO2 35 and PO2 46.1. Thoracentesis was performed, the result was brown milk (anchovy paste) color and pleural fluid analysis revealed positive Entamoeba histolytica. Antimicrobial therapy and drainage were given with excellent response. Conclusion: Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side and rarely causing respiratory failure. Pulmonary amebiasis is a life-threatening, but treatable, condition. Antimicrobial therapy and drainage is an important strategy in pulmonary amebiasis management.http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/390/205pulmonary amebiasismassive empyemarespiratory failure |
| spellingShingle | Dewi P Kristin Suci D Yulia Dewi P Ivana Iswanto Iswanto PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT Sanamed pulmonary amebiasis massive empyema respiratory failure |
| title | PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT |
| title_full | PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT |
| title_fullStr | PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT |
| title_full_unstemmed | PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT |
| title_short | PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT |
| title_sort | pulmonary amebiasis complicated with massive left empyema and respiratory failure a case report |
| topic | pulmonary amebiasis massive empyema respiratory failure |
| url | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/390/205 |
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